Clinical Documentation Spec 1 / HIM Clinical Document Mgmt
The Hospital of Central Connecticut · Posted Oct 21, 2026
- Farmington, Connecticut, United States
- 5+ years
The Clinical Documentation Specialist (CDS) 1 is responsible for extensive record review, and interaction with physicians, HIM coding professionals, nursing staff and other patient care givers to ensure the accurate representation of patient severity of illness and quality of care.
Responsibilities
- Provides extensive and accurate reviews of medical records within specified timelines.
- Recognizes opportunities for documentation improvement to support severity of illness and quality of care and then formulates clinically credible documentation clarifications/queries.
- Follows up on all cases especially those with clinical documentation clarifications/queries. Provides education to providers on responding to queries in the medical record and other CDI topics.
- Meets program quality and productivity guidelines and standards.
- Participates in Coding/CDI meetings and CDI H3W work group.
Requirements
- Associates Degree or equivalent experience.
- Nice to have: Certified Clinical Documentation Specialist (CCDS)
- Nice to have: Certified Clinical Documentation Professional (CDIP)